Certificate_of_partial_payment.pdf

PDF 113 KB Posted

Attached to
Tile Replacement - Clay County Jail
Solicitation number
25/26-005
Issued by
Clay County, Harold CDP, Florida

About this file

This is a Certificate of Partial Payment form used by Clay County, Florida for the Tile Replacement project at the Clay County Jail located at 901 N Orange Avenue, Green Cove Springs, Florida. The certificate documents progress payments made to contractors performing tile removal and installation of detention-grade, slip-resistant tile in designated dorm bathrooms and showers at the facility. The form requires the vendor to certify that all work has been performed and materials applied in accordance with contract terms and conditions, and that all subcontractors and suppliers have received their proportionate shares of previous progress payments.

The certificate establishes payment distribution requirements, mandating that the prime contractor remit payment to subcontractors and suppliers within 10 days of receiving payment, and that subcontractors remit payment to their own subcontractors and suppliers within 7 days thereafter. The form includes fields for payment number, total amount due, date, vendor name, and authorized signature, serving as the official documentation required for processing partial payments throughout the contract execution period.

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Text version

CERTIFICATE OF PARTIAL PAYMENT

PAYMENT # __________

TOTAL DUE THIS PAYMENT_______________

CERTIFICATE OF THE VENDOR: According to the best of my knowledge and belief, I certify that all items and amounts shown on the face of this certificate are correct and that all work has been performed and/or material applied in full accordance with the terms and conditions of the contract. I further certify that all subcontractors and suppliers having an interest in the contract have been provided their pro rata shares of the payment out of previous progress payments received for all work completed and materials furnished in the previous period, less any retainage withheld by the prime contractor pursuant to an agreement with a subcontractor. I further certify that within 10 days after receipt of payment hereon the contractor shall remit payment due to those subcontractors and suppliers hired by the contractor that furnished labor, services, or materials, the undisputed cost of which to the contractor is reflected in the payment application for which this certificate is issued. I further certify that the contractor will ensure that any subcontractor receiving such payment shall within 7 days thereafter remit payment due to subcontractors and suppliers hired by the subcontractor that furnished labor, services, or materials, the cost of which to the subcontractor is reflected in the payment application for which this certificate is issued.

Date: __________ Vendor: ________________________________________ By: ___________

File details come from the government source that posted it. Updated .